Individual
MR. HARVEY BOWEN LESLIE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4153 FLAT SHOALS PKWY, BUILDING A SUITE 104, DECATUR, GA 30034-4106
(404) 241-7062
(404) 243-0357
Mailing address
4153 FLAT SHOALS PKWY, BUILDING A SUITE 102, DECATUR, GA 30034-4106
(404) 241-7062
(404) 243-0357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
027597
GA
208VP0000X
Pain Medicine Physician
Primary
027597
GA
208VP0014X
Interventional Pain Medicine Physician
027597
GA
Other
Enumeration date
11/02/2006
Last updated
01/17/2019
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